共情关怀联合目标血压控制对高血压患者血压达标及心理状态的影响  

Influence of empathy care combined with target blood pressure control on blood pressure and psychological state of hypertension patients

作　　者：齐蒙蒙 关闯 刘彦娜[1] 雷丹 蒋玲[1] 刘敏[1] QI Mengmeng;GUAN Chuang;LIU Yanna;LEI Dan;JIANG Ling;LIU Min(Hypertension Department of Henan Provincial People's Hospital,Zhengzhou 450003,China;Emergency Rescue Room of Henan Provincial People's Hospital)

机构地区：[1]河南省人民医院高血压科,郑州450003 [2]河南省人民医院急诊抢救间

出　　处：《中国健康心理学杂志》2024年第11期1665-1669,共5页China Journal of Health Psychology

基　　金：国家自然科学基金资助项目(编号:82270463)。

摘　　要：目的:探讨共情关怀联合目标血压控制对高血压患者血压达标及心理状态的影响。方法:选取某院在2023年2月—2024年2月收治的80例住院高血压患者,依据随机数字表法将其分成A组(n=40)和B组(n=40)。A组实施常规干预手段,B组在A组基础上给予共情关怀联合目标血压控制干预。比较两组血压[舒张压(DBP)、收缩压(SBP)]水平、血压达标情况、心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、自我效能[慢性病自我效能量表(CDSES)]、服药依从性、患者满意度。结果:干预1个月后,B组DBP、SBP水平均低于A组(t=6.384,4.190;P<0.05);B组血压达标率高于A组(χ^(2)=5.230;P<0.05);B组HAMA、HAMD评分均低于A组(t=9.084,8.170;P<0.05);B组CDSES各维度及总评分均高于A组(t=5.201,5.371,4.752;P<0.05);B组服药依从率、总满意度均高于A组(χ^(2)=11.114,5.165;P<0.05)。结论:共情关怀联合目标血压控制干预可有效改善高血压患者血压水平,改善其焦虑抑郁状况,提高自我效能感、服药依从性和血压达标率,患者满意度更高。Objective:To explore the effect of empathy care combined with target blood pressure control on hypertension patients'blood pressure and psychological state.Methods:A total of 80 hypertension patients admitted to our hospital from February 2023 to February 2024 were selected and divided into group A(n=40)and group B(n=40)according to the random number table method.Group A received routine intervention,group B was given empathy care combined with target blood pressure control intervention on the basis of the control group.The levels of blood pressure[diastolic blood pressure(DBP)and systolic blood pressure(SBP)],blood pressure compliance,mental state[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],self-efficacy[chronic disease self-efficacy scale(CDSES)],medication compliance and patients'satisfaction were compared between the two groups.Results:After the intervention,the levels of DBP and SBP in group B were lower than those in group A(t=6.384,4.190;P<0.05).The blood pressure compliance rate of group B was higher than that in group A(χ^(2)=5.230;P<0.05).The scores of HAMA and HAMD in group B were lower than those in group A(t=9.084,8.170;P<0.05).All dimensions and total scores of CDSES in group B were higher than those in group A(t=5.201,5.371,4.752;P<0.05).The compliance rate and total satisfaction of group B were higher than those in group A(χ^(2)=11.114,5.165;P<0.05).Conclusion:Empathy care combined with target blood pressure control intervention can effectively improve the blood pressure level of hypertension patients,improve their anxiety and depression,improve self-efficacy,medication compliance and blood pressure compliance rate,and have higher patients'satisfaction.

关 键 词：高血压 共情关怀 目标血压控制 血压达标 心理状态 依从性 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]